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Title: A 69-year-old man with excessive sweating of the right hemithorax
Authors: Gil-Diaz, Aida
Conde-Martel, Alicia 
Betancor-Leon, Pedro
UNESCO Clasification: 32 Ciencias médicas
3205 Medicina interna
Keywords: Excessive sweating
Issue Date: 2011
Journal: BMJ Case Reports 
Abstract: The pure autonomic failure is a rare entity, with only a few cases reported in the literature. The authors describe a case with compensatory excessive sweating of the right hemithorax as an initial manifestation of a pure autonomic failure, and the authors review the clinical characteristics of this disease. A 69-year-old man presented excessive sweating of the right hemithorax. Physical examination revealed orthostatic hypotension. No other neurological features were present. The autonomic study showed a low heart rate response to the Valsalva maneuver and reduced supine plasma norepinephrine levels. A pure autonomic failure was diagnosed. Treatment did not improve patient’s symptoms. Anhidrosis with asymmetrical compensatory hyperhidrosis can be the only symptom of a pure autonomic failure. The authors highlight an unusual form of presentation of a rare disease, difficult to diagnose if it is not taken into consideration.
ISSN: 0959-8138
DOI: 10.1136/bcr.03.2011.3970
Source: BMJ case reports [0959-8138], 17 mayo 2011
Appears in Collections:Artículo preliminar
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